Good Shepherd Lutheran Home of the West
Good Shepherd Lutheran Home of the West is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lake Forest, California. Licensed in California, Colorado, Oregon and Washington. Registered with an NPI since 2007.
- Licensed in
- CA, CO, OR, WA
- In the registry since
- 2007
- Specialties on file
- 4
Practice location Address checks out
26489 Rancho Pkwy SLake Forest, CA 92630-8326
Phone: (949) 855-8056
Fax: (949) 600-6116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (CA) |
|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X (CO) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X (OR) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X (WA) |
Record details
| NPI number | 1194876359 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Kaczmarski — Chief Legal Affairs Officer · (920) 206-4406 |
| Other names | Good Shepherd Communities |
| NPI enumerated | January 15, 2007 |
| Last updated in NPPES | April 29, 2008 |
| Mailing address | 600 Hoffmann Dr, Watertown, WI 53094-6223 |